CT’s best kept secret, the latest CT health
insurer report card is out. Part of the managed care reform law passed
twenty years ago, the report allows consumers, policymakers and other stakeholders
to compare health plans across dozens of key performance standards, customer
satisfaction rates, provider participation by county, and claims denial rates.
As in the past, Anthem retains the majority of enrollment, serving 822,625
consumers in 2016. Of concern, the report cites both an increase in the number
of specialists and a decline in primary care providers. The report also
includes medical-loss ratios, the unfortunate term for how much of your premium
goes to medical costs vs. administration and profit, for each plan. Consumers
and employers lucky enough to have a choice between plans should consult the
report before deciding.